Behavioral Healthcare Billing Specialist

4 weeks ago


Irvine, California, United States Discovery Behavioral Health DBH Full time

Job Title: Behavioral Healthcare Billing Specialist

Job Summary

Discovery Behavioral Health DBH is seeking a skilled Billing Specialist to join our team. The successful candidate will be responsible for effective communication and coordination with insurance companies and clients to obtain the maximum benefits for our clients.

Key Responsibilities

  • Review census tracker and KIPU to confirm accuracy of charges to be billed.
  • Create and submit claims to appropriate payors.
  • Review data on insurance policies to ensure accurate claim processing and payment.
  • Accurately utilize the billing system.
  • Ensure corrected claims are submitted in a timely manner.
  • Prepare materials for submission to insurance companies as requested.
  • Contact clients to collect on outstanding account balances.
  • Maintain confidentiality of patient care and business.
  • Demonstrate strong, professional communication and interpersonal skills with clients, public, managers, and co-workers.
  • Perform general office duties and keep desk clean and organized.
  • Maintain accurate and thorough records.
  • Demonstrate the ability to act as a team player in a professional and positive manner.
  • Perform other duties as assigned by supervisor.

Requirements

  • 1-year minimum healthcare experience with billing or insurance verification required.
  • Basic understanding of insurance terminology (out-of-network benefits vs. in-network benefits, as well as coinsurance, co-pays, and deductibles), in addition to general billing practices.
  • Coding/Billing Certificate from an accredited institute or school preferred.
  • Experience with behavioral health treatment preferred.
  • Advanced MD experience preferred.
  • Knowledge of SUD, IOP, and Mental Health programs.
  • Knowledge and experience with EMR and billing software programs required.
  • Knowledge and experience with Medics software a plus.

Additional Information

Discovery Behavioral Health DBH is an EEO employer and maintains a drug-free workplace. All qualified applicants will receive consideration for employment without regard to age, race, color, religion, sex, or national origin.



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